Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science 2020)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2052073 Name: Deepak Verma
  Address: Village jandwala hanuwanta district fazilaka state Punjab Sub district abohar
Telephone No.: Mobile no: 9780523818
E-mail: vermadeepak4676@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 310171807
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052073 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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Date ________________ Date ________________
 
Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute

Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form.

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )

APPLICATION FOR ADMISSION - 2020

 
  Dossier ID: DNS2052073
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Deepak Verma
Mother's Name: Saroj Devi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 09 Nov 2002 Nationality: India
Place of Birth: Abohar Personal Identification Mark: No
Blood Group: B + Address for Communication: Village jandwala hanuwanta district fazilaka state Punjab Sub district abohar
State: Punjab Country: India
Pin: 152132 City/District: Fazilaka
Mobile no: 9780523818 Telephone No. with STD code:
Aadhar Card No:403251343283 E-mail: vermadeepak4676@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Bal krishan Relationship with candidate: Father
Parents Date of Birth: 11 Mar 1995 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Village jandwala hanuwanta district fazilaka state Punjab Sub district abohar
Country: India State: Punjab
City/District: Fazilaka Pin: 152132
Tel: Mobile no.: 9417320135
Fax: Email: orbit4676@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: Punjab
School: SGJ DAV school Haripura School: Govt model school abohar
City: Abohar City: Abohar
English %: 76 Board Roll No./Seat No.: 2019035138
Aggregate Percentage: 85 School/College Code: 03210107910
  Centre code: 0030185
  Address of School/College: City abohar district fazilaka state Punjab
  Pin: 152116
  Contact Nos:
  Email: govtabohar@gmail.com
  Aggregate Percentage: 81
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 79 79
Chemistry 100 85 85
Mathematics 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 81
English 75 58 77.33
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spend my time with my family and friends, preparing for imu cet
Why do you wish to join TMI?: It has good reputation outside, best college in India, and good infrastructure
What are your hobbies?: Playing chess and watching movies
What are your strengths?: Hardworking, calm nature, discipline character
What are your weaknesses?: Shy nature, and a stage fear
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate not uploaded Class XII admit card not uploaded Class XII marksheet
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

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Date ________________

 
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